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OPTION CARE ENTERPRISES, INC.
HM95816 UNIVERSITY OF CALIFORNIA DAVIS
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Covered Entity Details
Entity Name
UNIVERSITY OF CALIFORNIA DAVIS
Subdivision Name
C-Street Clinic HTC
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM95816
Entity Address
3301 C Street
SUITE 1800
SACRAMENTO, CA 95816-5219
Grant Number
H30MC24045
Participating Start Date
10/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
OPTION CARE
132 MISSION RANCH BLVD.
CHICO, CA 95926-2186
Pharmacy Comments
Contract Details
Approval Date
1/4/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2020
Ownership change
Contacts
Covered Entity Signing Official
TIMOTHY MAURICE, CHIEF FINANCIAL OFFICER
(916) 734-4055
Contract Pharmacy Representative
Option Care Enterprises, Inc.
JAMIE SHUTE, COORDINATOR
(530) 839-1337 Ext: 229
Signed By Date
1/4/2018
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